Individual
BENJAMIN R HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
35 BILLS BLVD, MARTINSVILLE, IN 46151-3354
(765) 349-9678
(765) 349-9719
Mailing address
PO BOX 643407, PITTSBURGH, PA 15264-3407
(800) 721-8202
(800) 721-8205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012318A
IN
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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